West London Mental Health NHS Trust, Uxbridge Road, Southall, Middlesex UB1 3EU, UK.
Br J Psychiatry. 2011 Sep;199(3):232-8. doi: 10.1192/bjp.bp.110.089474. Epub 2011 Jun 27.
The Deprivation of Liberty Safeguards (DoLS), introduced into the Mental Capacity Act 2005, were fully implemented on 1 April 2009 in England and Wales. The government estimated 20 000 assessments for DoLS at a cost of £600 per assessment. Aims To estimate the costs likely to be incurred with the implementation of DoLS in England.
The cost of conducting a single DoLS assessment was estimated using resource-utilisation data ascertained from 37 professionals, secretarial staff and independent mental capacity advocates involved with DoLS assessments in six diverse local DoLS offices.
The estimated average cost of a single DoLS assessment was £1277.
The estimated average cost of a single DoLS assessment was significantly higher than the £600 estimated by the government. However, the allocated budget, based on 20 000 estimated DoLS assessments in the first year of its implementation, is likely to be adequate because a significantly lower number of assessments (only 5200) were conducted in the first 9 months after its implementation.
2005 年《精神能力法案》中引入的自由剥夺保障（DoLS）于 2009 年 4 月 1 日在英格兰和威尔士全面实施。政府估计在第一年实施 DoLS 时需要进行 20000 次评估，每次评估的费用为 600 英镑。
评估在英格兰实施 DoLS 的费用。
使用从参与六个不同地区 DoLS 办公室的 37 名专业人员、秘书人员和独立精神能力倡导者那里获得的资源利用数据来估算进行单次 DoLS 评估的成本。
单次 DoLS 评估的估计平均成本为 1277 英镑。
单次 DoLS 评估的估计平均成本明显高于政府估计的 600 英镑。然而，根据实施第一年估计的 20000 次 DoLS 评估分配的预算可能是足够的，因为在实施后的前 9 个月，进行的评估数量（仅为 5200 次）明显减少。
